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      Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients

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      Nutrition
      Elsevier BV

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          What is subjective global assessment of nutritional status?

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            Prognostic nutritional index in gastrointestinal surgery

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              Prevalence of malnutrition in general medical patients.

              Three, single-day nutritional surveys at weekly intervals were conducted in the general medical wards of an urban municipal teaching hospital. The techniques of nutritional assessment included anthropometric measures (weight/height, triceps skin fold, arm-muscle circumference, serum albumin, and hematocrit). The prevalence of protein-calorie malnutrition was 44% or greater by these criteria (weight/height, 45%; triceps skin fold, 76%; arm-muscle circumference, 55%; serum albumin, 44%; and hematocrit, 48%). These results were reproducible without significant variation between surveys. In 34% of patients, a lymphopenia of 1,200 cells/cu mm or less was found, a level likely to be associated with diminished cell-mediated immunity. Compared with a similar survey among surgical patients, the medical patients were more depleted calorically (weight/height, triceps skin fold) but had better protein status (arm-muscle circumference, serum albumin). Significant protein-calorie malnutrition occurs commonly in municipal hospitals in both medical and surgical services.
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                Author and article information

                Journal
                Nutrition
                Nutrition
                Elsevier BV
                08999007
                July 2001
                July 2001
                : 17
                : 7-8
                : 573-580
                Article
                10.1016/S0899-9007(01)00573-1
                11448575
                4467957b-eff7-4862-979c-1ffd17919297
                © 2001

                http://www.elsevier.com/tdm/userlicense/1.0/

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